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IFIED PROGRAM CONSOLIDATED FOR �' O ANK: TA0170704 [Jy/ PR#: PRO211707 UNDERGROUND STORAGE TANKS -TANK p AC#; FA0003948 (two pages per tank) Page 4 of 5 TYPE OF ACTION ❑ I NEW SITE PERMIT ❑4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATION (Ce«k aolyimnmb) ❑ 6TEMPORARY SITE CLOSURE ❑ 7 PERMANENTLY CLOSED ON SITE 3RENEWAL PERMIT dme 41 (Spa,ty rcumfb sx.I .-I,): ❑ .. a5 8TANK REMOVED mo BUSINESS NAME(s.,aea.FACRrrYNAME or DBA-Doing Baaiaa.,An FACILITY IU: PR i).. 1 P G&E(TRACY MAINTENANCE STATION) FA0003948 PR0231707 LOCATION WITHIN SITE mpeoa.l) 24081 S MOUNTAIN HOUSE PKWY,TRACY 431 PHONE I.TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# Tank#: 4 432 TANK MANUFACTURER all COMPARTMENTALIZED TANK [-]Yes ❑No 434 TA0170704 GLASTEEL-MODERN WELDING If"Ya",canplere w,epage faread,mvpanmmb DATE INSTALLED(YEAR/MO) 415 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 3,000 ADDITIONAL DESCRIPTION(F«keel me mly) 438 II,TANK CONTENTS TANK USE 439 PETROLEUM TYPE 4d0 ® 1.MOTOR VEHICLE FUEL Ella.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL (IfnutkW m,rylc¢Pctrolcwn Typa) ❑ I b.PREMIUMUNLEADED ® 3.DIESEL ❑ 6.AVIATION FUEL ❑ 2.NON-FUEL PETROLEUM ❑ to.MIDGRADE UNLEADED ❑4.GASOHOL ❑ 99.OTHER ❑3.CHEMICAL PRODUCT COMMON NAME(BomHvammc maunalaNvmmypage) 441 CAS#(6wn xuaaoua Matwiets m ur,page) ❑4.HAZARDOUS WASTE 442 (ImIndc U:m rnn ❑ 95.UNKNOWN M.TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ S.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (C7,akaaftancay) EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN ®2.DOUBLE WALL. ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary tank ❑ I.BARE STEEL ❑ FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN dad (Cba .it.only) ❑2.STAINLESS STEEL ® STEEL CLADWMBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ 1.BARE STEEL ❑ 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (C3nd i,vnonly) ❑ 2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/100%METHANOL REINFORCED PLASTIC(FRP) ❑ IO.COATED STEEL ❑ 99.OTHER ❑ 5.CONCRETE TANK INTERIOR LINING ❑ 1.RUBBER LINED ❑ ❑3.EPDXY LINING 5.GLASS LINING 95.UNKNOWN 446 DATE INSTALLED N7 OR COATING ❑ (Cbakmci ony) ❑2 ALKYD LINING ❑ 4 PHENOLIC LINING ❑ 6 UNLINED ❑99.OTHER (Palrcal me oWy) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ® 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN 446 DATE INSTALLED 449 PROTECTION APPLICABLE PROTECTION OTHER (Lhokmelr wy) ❑ 41MPRESSEDCURRENT ❑99 OTHER ❑ 2SACRIFICIAL ANODE (pm kcal a4 ],) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(]o Mc nly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chxk all tkaz appy) ❑ I SPILL CONTAINMENT ❑ IALARM E] 3 FILL TUBE SHUT OFF NAL` r] 2 DROP TUBE ❑ 3 STRIKER PLATE ❑ 2 BALL ❑4 EXEMPT FLOAT IV.TANK LEAK DETECTION(A de infi affl �e.6,sp.4ap.m.611 b..a uact rod.Icm.gan<y.) IF SINGLE WALL TANK(C all dw apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTG) (Check me i=only) 2 AUTOMATIC TANK GAUGING(ATG) ❑ 1 VISUAL(SINGLE WALL IN VAULT ONLY) ❑ ( ❑ 6VADOSEZONE ❑3 CONTINUOUS ATC ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING (SIR)BIENNIAL TANK TESTING ❑❑ 99 OTHER 3 MANUAL MONITORING V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIINATED DATE LAST USED(YR/MO/DAY) 455 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIA.? 457 -- ❑Yes ❑ No UPCF(12/99 revised)